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Clin Infect Dis. 2009 Apr 15;48(8):1107-10. doi: 10.1086/597463.

Risk factors for death and severe neurological sequelae in childhood bacterial meningitis in sub-Saharan Africa.

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1
Hospital Pedi√°trico David Bernardino, Luanda, Angola. tuulapelkonen@hotmail.com

Abstract

We report a morality rate of 33% among 403 children with bacterial meningitis in Angola. A fatal outcome was associated with impaired consciousness, severe dyspnea, and seizures, and severe neurological sequelae (found in 25% of our patients) was associated with delayed presentation to the hospital, impaired consciousness, and seizures. Being underweight was of secondary importance. Treatment with ceftriaxone, rather than with penicillin plus chloramphenicol, did not improve outcome.

PMID:
19275501
DOI:
10.1086/597463
[Indexed for MEDLINE]
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